Provider Demographics
NPI:1114267747
Name:WATSON, JOSHUA
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:WATSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MICHIGAN MEDICINE, UNIVERSITY OF MICHIGAN ADULT CARDIAC
Mailing Address - Street 2:1500 E MEDICAL CENTER DRIVE, SPC 5856 FCVC 3RD FLOOR, R
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109
Mailing Address - Country:US
Mailing Address - Phone:734-647-7321
Mailing Address - Fax:734-362-5236
Practice Address - Street 1:MICHIGAN MEDICINE, UNIVERSITY OF MICHIGAN ADULT CARDIAC
Practice Address - Street 2:1500 E MEDICAL CENTER DRIVE, SPC 5856 FCVC 3RD FLOOR, R
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109
Practice Address - Country:US
Practice Address - Phone:734-647-7321
Practice Address - Fax:734-362-5236
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program